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Rapid recurrence of cystic adventitial disease in femoral artery and an etiologic consideration for the cyst  Keiji Oi, MD, PhD, Tetsuya Yoshida, MD,

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Presentation on theme: "Rapid recurrence of cystic adventitial disease in femoral artery and an etiologic consideration for the cyst  Keiji Oi, MD, PhD, Tetsuya Yoshida, MD,"— Presentation transcript:

1 Rapid recurrence of cystic adventitial disease in femoral artery and an etiologic consideration for the cyst  Keiji Oi, MD, PhD, Tetsuya Yoshida, MD, PhD, Naohiro Shinohara, MD, PhD  Journal of Vascular Surgery  Volume 53, Issue 6, Pages (June 2011) DOI: /j.jvs Copyright © 2011 Society for Vascular Surgery Terms and Conditions

2 Fig 1 Preoperative CT and CTA. Left, Contrast CT. Left common femoral artery was dilated and its lumen seemed to be occupied with abnormal mass. Right, Preoperative CTA revealed occlusion of the left common femoral artery. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

3 Fig 2 Postoperative CTA. A, CTA on postoperative day 9. No evidence of stenosis in the femoral artery was observed. B, CTA on postoperative day 37. Severe stenosis of the left common femoral artery was observed. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

4 Fig 3 Macroscopic image of the cystic adventitial disease. Segment of the adventitia changed into a unilocular cyst, which distended with gelatinous material and pressed the primary arterial lumen into severe stenosis. Thrombus formation was observed at the proximal site of the stenosis. Previous suture stitches for the arterial wall were running in the cyst. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

5 Fig 4 Microscopic images of the cystic adventitial disease. Crossbars represent 100 μm. A, Elastica van Gieson staining (low power). The cyst was situated within the adventitia. B, Hematoxylin and eosin staining. Lining cells on the cyst were sparsely situated and lined up to two to three layers. These cells had a large volume of eosinophilic or clear cytoplasms which contained vacuolar or foamy structures. There were no basement membranes. C, CD68 (KP1) staining. CD68 positive cells were recognized on the cyst lining. D, CD14 staining. CD14 positive cells were recognized on the cyst lining. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2011 Society for Vascular Surgery Terms and Conditions

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